Treatment Bibliography
NOTE: Some States have enacted
"Pain Laws". The General Assembly of the
State of Ohio, enacted by the 122nd General Assembly,
created an Act "Substitute House Bill Number 187"
of the Ohio Revised Code Effective October 14, 1997,
"To enact sections 4731.052 and 4731.283 of the Revised
Code regarding the authority of physicians to prescribe,
dispense, and administer dangerous drugs for management of
intractable pain." This law was proposed by an
Ohio Representative who watched his mother die of cancer, in
unnecessary, needless and horrific pain.
Note 2: Patients' pain is often disbelieved by nurses too.
"Culture not only affects patients’ expressions of
pain, but influences the way nurses respond to and manage
that pain. In fact, the values of nurses as a professional
group may come into play. For instance, nurses value
self-control and the ability to work well in stressful
situations. They often expect patients to fall in line with
similar ways of dealing with pain; that is, to be
uncomplaining, calm, and objective.2
On the whole, nurses tend to under evaluate patients’
pain, attributing pain behavior to mental or psychological
distress, rather than actual physical pain.7"
(footnotes are from the original article) - As
quoted from: http://www2.nurseweek.com/ce/self-study_modules/course.html?ID=304&PageNum=2&Begin=6112
Bibliography:
1. David E. Weissman, MD, (Professor of
Medicine - Hematology/Oncology - Medical College of
Wisconsin), "Pain Management and the Bogeyman"
published in "Reflections," a collection of essays
by the health professionals of the Medical College of
Wisconsin. Article Created: 2001-11-29 URL: http://healthlink.mcw.edu/article/1007067408.html
The Controlled Substances Act (CSA) of 1972,
which supersedes and replaces the Harrison Act and all
intervening federal drug legislation, makes it a federal
offence to prescribe controlled substances to a drug addict
for the purposes of treating or maintaining their addiction,
except where the physician holds a separate DEA license to
provide methadone maintenance. -- from http://www.doctordeluca.com/Library/UWOD/UWOD5-DenominatorAbuse.htm
2 Alexander DeLuca,
M.D. "Understanding
Drug War Statistics, Part 5:
Denominator Abuse and the Chilling Effect; The misleading
use of an incorrectly computed rate statistic"
June 17, 2004. "Addiction, Pain, & Public
Health" website. Posted
2004-06-17; Revised 2004-08-19; Modified:
2005-12-18. This document is an edited excerpt of
"Analysis of 'The Myth of the Chilling Effect.' http://www.doctordeluca.com/Library/UWOD/UWOD5-DenominatorAbuse.htm
June 17, 2004. Posted 2004-06-17; Revised
2004-08-19; Modified: 2005-12-18.
This document is an edited excerpt of "Analysis of 'The
Myth of the Chilling Effect.'
also read: http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.section.48606
3. Dr. Eric M. Chevlen received his
M.D. from Ohio State University in 1974. His
internship was at Case Western Reserve University Affiliated
Hospitals, and his residency was at Mt. Sinai Hospital in
Cleveland. Dr. Chevlen served his oncology fellowship at the
National Cancer Institute 1976-1978, and his Hematology
Fellowship at the University of California at San Francisco,
Cancer Research Institute. He is one of the few physicians
in America to be certified by five specialty boards: the
American Board of Internal Medicine, the American Board of
Medical Oncology, the American Board of Hematology, the
American Board of Pain Medicine, and the American Board of
Hospice and Palliative Medicine. He has been a diplomate of
the American Board of Pain Medicine. Dr. Chevlen
specializes in the treatment of cancer and pain and
palliative care.. He also serves as the Director of
Palliative Care at St. Elizabeth Health Center, and is a
hospice medical director in Youngstown, Ohio.
Dr. Chevlen was one of a select group of medical specialists
who testified before the Senate Judiciary Committee on April
25, 2000 concerning The Pain Relief Promotion Act of 1999
--- see the following website for the text of his testimony
and remarks: http://commdocs.house.gov/committees/judiciary/hju62489.000/hju62489_0.htm
The Bill, H.R. 2260[106]: Pain Relief Promotion Act of 2000
was considered by the 106th Congress, and endorsed by
Medical professionals and the American Nurses Association,
but the bill never became law.
Dr. Chevlen is also an educator and
researcher. An assistant professor of internal
medicine at Northeastern Ohio Universities College of
Medicine, he lectures widely on pain and palliative care.
Dr Chevlen has indicated that he is a research consultant
for Endo Pharmaceuticals, and has served as a member of the
speakers bureau for Cephalon Inc., Janssen Pharmaceutica,
Ligand Pharmaceuticals, Organon, and Purdue Pharma. He
has conducted research in the area of opioid analgesia.
With Wesley J. Smith (an attorney), Dr. Chevlen is co-author
of the book Power over Pain. He currently
practices medicine in Youngstown, Ohio, where he lives with
his wife, Laurel, and their two sets of twins. [Parts
taken from the website www.pain.com]
If interested, you may read an
interview with Dr. Chevlen conducted by ww.pain.com
on the subject of cancer pain.
See also "Chevlen, Eric M., M.D. A Bad
Prescription from DEA; The drug agency's misguided campaign
against a painkiller," The Weekly Standard,
June 4, 2001. Full article online at http://www.cpmission.com/main/misguided.html
Originally posted to doctordeluca.com 12/18/2003. See
also Terence Gorski's analysis which draws heavily on
Chevlen's article: "OxyContin - Why DEA
Enforcement Is Misguided" - As quoted by
Alexander DeLuca, M.D. on the "Addiction,
Pain, & Public Health" website This was
originally posted to www.doctordeluca.com on 12/18/2003.
4. Dr. Hochman is a pain
specialist and the Executive Director of the National
Foundation of the Treatment of Pain. He estimates that
the number of physicians practicing "chronic opioid
therapy" was 5000 in 2002. This estimate is somewhat
close to the "3000 pain specialists" estimated by
Eric Chevlen. [Chevlen, 2001]
5. Servan-Schreiber, David, M.D., Ph.D.,
N. Randall Kolb, M.D., and Gary Tabas, M.D.
"Somatizing Patients: Part I. Practical
Diagnosis," University of Pittsburgh School of
Medicine, Pittsburgh, Pennsylvania. AAFP Home Page
> News & Publications > Journals > American
Family Physician® > Vol. 61/No. 4 (February 15,
2000): http://www.aafp.org/afp/20000215/1073.html
Ibid., "Somatizing Patients: Part II.
Practical Management." AAFP Home Page > News
& Publications > Journals > American Family
Physician® > Vol. 61/No. 5 (March 1, 2000): http://www.aafp.org/afp/20000301/1423.html
This 2-part article ".. is based in part on a paper
written by the first author and previously published as
Servan-Schreiber D. Coping effectively with patients who
somatize. Women's Health in Primary Care 1998;1:
435-47." (University of Pittsburgh School of
Medicine, Pittsburgh, Pennsylvania A patient information
handout on somatic illness, written by the authors of this
article, is provided on page 1431.)
6. 106th Congress - H.R.
2260[106]: Pain Relief Promotion Act of 2000
Status: Passed House (91% of Republicans supporting, 69% of
Democrats opposing.)
This bill was proposed in a previous session of Congress.
Sessions of Congress last two years, and at the end of each
session all proposed bills and resolutions that haven't
passed are cleared from the books. This bill never became
law. Introduced: Jun 17, 1999 Last
Action: May 23, 2000: Placed on Senate Legislative Calendar
under General Orders. Calendar No. 566. Sponsor: Rep.
Henry Hyde [?-IL] -- http://www.govtrack.us/congress/bill.xpd?bill=h106-2260
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